Diagnostics and surgical treatment of Hirsprung disease in newborns and patients in the first months of life
https://doi.org/10.51922/1818-426X.2022.2.4
Abstract
The lack of a unified methodological approach to the treatment of newborns with Hirschsprung's disease in medical institutions of the country, non-standardized diagnostic and surgical treatment programs lead to late detection of the disease and, accordingly, late surgical treatment. Therefore, one of the important principles of organizing the work of specialists from various services is mutual continuity and understanding at each stage of work.
Aim. Analysis of diagnostics and principles of surgical treatment of patients in the first months of life with Hirschsprung's disease. From 2010 to 2019, diagnostics (X-ray and morphological examinations) were carried out at the Republican Scientific and Practical Center for Pediatric Surgery in 51 newborn patients in whom Hirschsprung's disease was confirmed. The patients were divided into 2 groups with uncomplicated and complicated course of the disease: uncomplicated form – 36 patients with persistent constipation, 32 of whom were radically operated on before the age of 3 months; complicated form – 15 patients who had a stoma removed due to intestinal obstruction, peritonitis or necrotizing enterocolitis.
About the Authors
O. A. Govorukhina
ГУ «Республиканский научно-практический центр детской хирургии» ; УО «Белорусский государственный медицинский университет»
Belarus
Belarus
N. S. Prokopenya
ГУ «Республиканский научно-практический центр детской хирургии»
Belarus
Belarus
V. A. Kharitonchik
ГУ «Республиканский научно-практический центр детской хирургии»
Belarus
Belarus
V. M. Khomich
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
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Review
For citations:
Govorukhina O.A., Prokopenya N.S., Kharitonchik V.A., Khomich V.M. Diagnostics and surgical treatment of Hirsprung disease in newborns and patients in the first months of life. Medical Journal. 2022;(2):4-11. (In Russ.) https://doi.org/10.51922/1818-426X.2022.2.4
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